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Contact Information

INTEGRATED BEHAVIORAL CENTER PC
1121 CORNELL AVENUE
SAVANNAH, GA31406
 Phone: 912-355-4987
 Fax: 912-353-7257
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for INTEGRATED BEHAVIORAL CENTER PC

NPI Number 1649201625
LBN Legal business name INTEGRATED BEHAVIORAL CENTER PC
Authorized official MANOJ DASS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/06/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
GA License # 002990
GA License # 22536
GA Medicaid 00235034A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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